Procedure list and proposed basic charges as per classification of cities

Maxillofacial, Oral & Dental Procedure Basic procedural charges in INR as per
current classification of Indian Cities
DIAGNOSTIC CHARGES X Y Z
Professional Consultation 300 200 150
IOPA Radiograph 300 250 200
Bitewing Radiograph 300 250 200
Occlusal Radiograph 400 350 300
Orthomopantograph 600 500 400
Cone beam CT scan (Full FOV with TMJ) 4000 3000 3000
Cone beam CT scan ( Full FOV, upper and lower jaw) 3000 2000 2000
Cone beam CT scan (Sectional FOV, One jaw) 2000 1500 1500
Cone beam CT scan (Sectional FOV, One‐three teeth) 1500 1000 1000
RESTORATION (Per Tooth)
Temporary Restoration 500 400 300
GIC Restoration 1000 900 800
Composite Restoration (One surface) 1500 1400 1300
Composite Restoration (Two surface) 2000 1900 1800
Composite Restoration (Three surface) 2500 2400 2300
Pit & Fissure Sealant 1000 900 800
Direct composite veneer 4000 3500 3000
Fiber Post Bonding 2500 2000 1800
PERIODONTAL THERAPY
Oral Prophylaxis (Upper & Lower jaw) 2500 2000 2000
Flap Surgery (Quadrant) 5000 4000 3500
Flap Surgery (Full mouth) 20000 16000 14000
Bone Graft Placement (1 cc) 5000 4000 4000
Curettage (2‐3 teeth region) 2500 2000 2000
Splinting of teeth (3‐6 teeth) 3000 2500 2000
Gingivectomy (Quadrant) 5000 4000 4000

ENDODONTIC THERAPY
Root Canal Treatment (Anterior) 7000 6000 5500
Root Canal Treatment (Premolar) 6500 6000 5500
Root Canal Treatment (Molar) 13500 1100 8500
Root Canal Treatment 7000 6000 5500
(Wisdom Tooth/Calcified Tooth)
Custom Post Bonding 2500 2000 1800
PROSTHODONTIC THERAPY
Provisional Acrylic Crown 1500 1000 1000
Indirect Ceramic Veneer 5000 4000 4000
Co‐Cr + Ceramic Crown (Vita) (one tooth) 5000 4000 4000
Zircon + Ceramic/Monolith Crown (one tooth) 8000 7000 7000
Co‐Cr Metal Crown (one tooth) 4000 3500 3500
Implant Ceramic Crown (one tooth) 8000 7500 7000
Upper & Lower Complete Denture 25000 22500 20500
Flexible Partial Denture (one quadrant) 6000 5500 5000
Flexible Partial Denture (extending to two quadrants in one jaw) 8000 7500 7000
Cast Partial Denture (one quadrant) 6000 5500 5000
Cast Partial Denture (extending to two quadrants in one jaw) 8000 7500 7000
Acrylic Partial Denture (one quadrant) 5000 4500 4000
Acrylic Partial Denture (extending to two quadrants in one jaw) 6000 5500 5000
Clear Night Guard (one jaw) 4000 3500 3000
ORTHODONTIC THERAPY
Non‐self‐ligating braces therapy (non extraction cases) 35000 32000 29000
Non‐self‐ligating braces therapy (extraction cases) 40000 37000 34000
Self‐ligating braces therapy (non extraction case) 45000 42000 39000
Self‐ligating braces therapy (extraction case) 50000 47000 44000
Clear aligner therapy (non extraction case) 150000 140000 130000
Clear aligner therapy (extraction case) 200000 190000 175000
Clear retainer (one jaw) 5000 4500 4000
ORAL SURGICAL THERAPY
Extraction of tooth (Anterior) 2000 1500 1300
Extraction of tooth (Premolar) 2500 2000 1800
Extraction of tooth (Molar) 3000 2500 2200
Implant placement (one) 35000 32000 30000
Wisdom/Impacted tooth extraction (Lower jaw) 7000 6000 5500
Wisdom/Impacted tooth extraction (Upper jaw) 5000 4500 4000
Cyst removal (one site) 7000 6000 5500
Bone plating for fracture reduction (one site) 10000 9000 8500
TMJ relocation (non‐surgical) 5000 4000 3500
Frenectomy (one site) 4000 3500 3500
Interdental wiring/splinting 5000 4500 4500
(quadrant)
Apicectomy 6000 5500 5000
Surgical exposure of tooth 5000 4500 4000
Treatment of Dry socket 4000 3500 3500
PEDODONTIC THERAPY
Extraction of milk tooth 1500 1200 1000
Endodontic treatment (milk tooth) 5000 4000 4000
Preformed Metal Crowns 4000 3500 3000
Space Maintainers (One quadrant) 5000 4000 4000
Myofunctional appliances 15000 14000 13000
Fluoride therapy (one jaw) 5000 4500 4000
Habit breaking appliance (one jaw) 5000 4500 4000